<!DOCTYPE html>
<html>
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
<div class="wrapper wrapper-content ">
	<div class="row">
		<div class="col-sm-12">
			<div class="ibox float-e-margins">
				<div class="ibox-content">
					<form class="form-horizontal m-t" id="signupForm">
						<input id="userId" name="userId" type="hidden">
						<input name="userType" id="userType" type="hidden" value="100002">
						<div class="form-group">
							<label class="col-sm-3 control-label">姓名：</label>
							<div class="col-sm-8">
								<input id="name" name="name" class="form-control" type="text">
							</div>
						</div>
						<div class="form-group">
							<label class="col-sm-3 control-label">用户名：</label>
							<div class="col-sm-8">
								<input id="username" name="username" class="form-control"
									   type="text">
							</div>
						</div>
						<div class="form-group">
							<label class="col-sm-3 control-label">密码：</label>
							<div class="col-sm-8">
								<input id="password" name="password" class="form-control"
									   type="password">
							</div>
						</div>
						<div class="form-group">
							<label class="col-sm-3 control-label">联系方式：</label>
							<div class="col-sm-8">
								<input id="mobile" name="mobile" class="form-control"
									type="text">
							</div>
						</div>
						<div class="form-group">
							<label class="col-sm-3 control-label">部门：</label>
							<div class="col-sm-8">
								<input id="deptId" name="deptId" class="hidden"> <input
									id="deptName" name="deptName" class="form-control" type="text"
									style="cursor: pointer;" onclick="openDept()"
									readonly="readonly" placeholder="所属部门">
							</div>
						</div>
						<div class="form-group">
							<label class="col-sm-3 control-label">供应商简称：</label>
							<div class="col-sm-8">
							 
								 <select data-placeholder="--选择供应商--" name="providerId" id="providerId"
										class="form-control chosen-select" tabindex="2" required>
									<option value="">--选择供应商--</option>
								</select> 
							</div>
						</div>

						<div class="form-group">
							<label class="col-sm-3 control-label">E-mail：</label>
							<div class="col-sm-8">
								<input id="email" name="email" class="form-control"
									   type="email">
							</div>
						</div>
						<div class="form-group">
							<label class="col-sm-3 control-label">状态:</label>
							<div class="col-sm-8">
								<label class="radio-inline"> <input type="radio"
																	name="status" value="1" /> 正常
								</label> <label class="radio-inline"> <input type="radio"
																			 name="status" value="0" /> 禁用
							</label>
							</div>
						</div>
						<input type="hidden" name="roleIds" id="roleIds">
						<div class="form-group" style="display: none">
							<label class="col-sm-3 control-label">角色</label>
							<div class="col-sm-8">
									<input name="role" type="checkbox" value="60">
							</div>
						</div>

						<div class="form-group">
							<div class="col-sm-8 col-sm-offset-3">
								<button type="submit" class="btn btn-primary">提交</button>
							</div>
						</div>
					</form>
				</div>
			</div>
		</div>
	</div>

</div>
	<div th:include="include::footer"></div>
	<script type="text/javascript" src="/js/appjs/provider/user/add.js">
	</script>
</body>
</html>
